Story provided by Anna Burhouse, Director of Strategic Modernisation
Gloucester Children and Young Peoples Service
Planning started in November 2005 and we implemented from July 2006.
We work in a children and young people’s service in a diverse urban setting, with high levels of dep- rivation within in a predominantly rural county. Referrals are accepted from all professionals. We see young people up to the age of 18 with some flexibility according to individual need.
We have recently been re-commissioned to ex- pand our services countywide to include:
Core Level 2 and Level 3 CAMHS, a specialist out- reach team to engage young people with com- plex needs, inpatient and alternative to inpatient services, infant mental health services, a service for Looked After and Adopted children, a sub- stance misuse service, a Youth Offending Service, Court service, Understanding Sexual Behaviour Service, Paediatric Liaison and Hospital Education Service
We implemented at a local team level from July 2006, everyone in the team contributed to CAPA and we developed a range of data and outcome measurements to follow our progress. Our waiting times dropped to 21 days from date of receipt of new referral. This pilot was expanded to the whole county during 2007-2009. The service was re-commissioned in 2010 and the service transformation started in the summer 2011. This has resulted in widespread change to the overall structure and we continue to try and use CAPA principles to ensure flow across the different areas of service delivery. This process has undoubtedly been challenging and we are currently trying to understand how the new specialist services and processes impact on patient flow.
This has been a challenge during the transformation process and we have to adapt to new bottlenecks in the system.
Currently 12 (55%) as we have moved from team to whole service away days which scores as aed and some of our new teams do not use all elements of the CAPA process. We were at 97% in 2009 when the service was smaller and less complex.
And finally- 3 tips to get going and keep going...